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Removal and then insertion of Peg Tube

  1. #1
    Smile Removal and then insertion of Peg Tube
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    A physician told me that I need to use a 43247 for removal of peg tube and then a 43246 for the insertion of a new peg tube? It has been a while since I worked with peg tubes and I think there is a code that covers both procedures during the same time. Can anyone help? Thanks.

  2. #2
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    Not knowing the details of the removal/reinsertion, below are the basics...

    "Intubation of the gastrointestinal tract (e.g., percutaneous placement of G-tube) includes subsequent removal of the tube. CPT codes such as 43247 (upper gastrointestinal endoscopic removal of foreign body) should not be reported for routine removal of previously placed therapeutic devices."

    NCCI Policy Manual-Chpt 6-page 6

    http://www.cms.hhs.gov/NationalCorre....asp#TopOfPage


    For the removal only, you would report an E/M code.

    However, depending on your documentation, you may be able to report 43760for the reinsertion.

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